Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica C Boothe, MSOT, OTR/L, CLT

Individual provider Ergonomics Occupational Therapist · NPI 1194006601

Jessica C Boothe, MSOT, OTR/L, CLT is an Occupational Therapist in Private Practice in Fort Walton Beach, Florida. Qualified in 2010, 16 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2011
Specialties on file
6
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Practice location Address checks out

804 Pine Alley St
Fort Walton Beach, FL 32547-1216
Phone: (860) 803-6683
Fax: (888) 857-4412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT14340 (FL)
Ergonomics Occupational Therapist Taxonomy 225XE1200X · Licence OT14340 (FL)
Human Factors Occupational Therapist Taxonomy 225XH1300X · Licence OT14340 (FL)
Gerontology Occupational Therapist Taxonomy 225XG0600X · Licence OT14340 (FL)
Environmental Modification Occupational Therapist Taxonomy 225XE0001X · Licence OT14340 (FL)
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X · Licence OT14340 (FL)

Record details

NPI number1194006601
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT , OTR/L , CLT
Sole proprietorYes
NPI enumeratedAugust 30, 2011
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare